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CHmri OF CUSTODY <br />Special www.fg1inc.com <br />�w - <br />Customer Copy (2 of 3) <br />i I IIIII IIII 1111:02/06/2017 <br />AGRICULTURAL <br />ENVIRONMENTAL -- <br />Analytical Chemists <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />CHmri OF CUSTODY <br />Special www.fg1inc.com <br />�w - <br />Customer Copy (2 of 3) <br />i I IIIII IIII 1111:02/06/2017 <br />t <br />3<'. <br />853 Corporation Street <br />35730oll <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Tr ST DESCRIPTION <br />- See <br />Revers <br />Q.tde for Container. <br />Preservative <br />anti Sampling�inforrmmMion <br />Client: San Joaquin County E11D <br />Water Quality Division <br />� <br />J <br />Attn: Rodney 'Estrada <br />,v <br />r <br />1868 East Hazelton Ave. <br />J <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax: <br />v <br />Contact Person: Rodney Estrada <br />d <br />Project Name: <br />vWi <br />v� <br />� <br />Purchase Order Number: <br />lu <br />w <br />Quote Number: ST 20160309-01 <br />a <br />Wa <br />a <br />F <br />Sampler(s) <br />U <br />* <br />a <br />a <br />x <br />cio <br />�o <br />O <br />'C <br />¢ O <br />W <br />Sampling Fee: Pickup Fee: <br />5 <br />t'' <br />; <br />o <br />p" eqa <br />Compositor Setup Date: / Time: <br />/_ <br />A. <br />y O <br />z <br />'J <br />O <br />W.z <br />a <br />0 <br />N cNV <br />o z <br /><dM <br />z <br />'OZ <br />w <br />= <br />.v-� <br />A <br />E <br />F= <br />Lab Number: STK <br />3-17919 <br />w <br />o <br />a <br />'r, 0 <br />a <br />C> <br />a <br />c <br />x <br />a <br />a <br />Samp <br />Date <br />Time <br />Location Description <br />Sampled <br />Sampled <br />G <br />DW <br />No <br />w `� <br />I <br />Remarks: <br />Relinquished <br />Date: <br />Time: <br />Relinquished Date: Time: <br />Relinquished Dare: Dime: <br />Received By: Date: <br />Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />